Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Plastic Surgery Center of Nwa, PA

Organization Plastic Surgery Physician · NPI 1023372208

Plastic Surgery Center of Nwa, PA provides Plastic Surgery Physician services in Bentonville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2012.

Licensed in
AR
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2900 Medical Center Pkwy Ste 220
Bentonville, AR 72712-3204 Not confirmed with CMS for 14 years — call before visiting
Phone: (479) 464-9191
Fax: (479) 464-8840
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence E3659 (AR)

Record details

NPI number1023372208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Kendall — Owner · (479) 464-9191
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012
Mailing address2900 Medical Center Pkwy, Suite 220, Bentonville, AR 72712-3204

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